Evidence map›Paper›PMID 34345760›Full record

ArticleRheumatology advances in practice2021

The association between body mass index and fibromyalgia severity: data from a cross-sectional survey of 2339 patients.

Fabiola Atzeni, Alessandra Alciati, Fausto Salaffi, Marco Di Carlo, Laura Bazzichi, Marcello Govoni, Giovanni Biasi, Manuela Di Franco, Flavio Mozzani, Elisa Gremese and 27 more

Open access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Geographical disparities in fibromyalgia severity: An Italian study.European journal of pain (London, England) · 2025
    Article
  6. Review
  7. [Effects of overweight and obesity on symptoms, overall condition and quality of life in patients with fibromyalgia syndrome].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
  8. Physical Conditioning, Obesity and Fibromyalgia: Causal Relationship or Confounding?Principles and practice of clinical research (2015) · 2023
    Article
  9. Review
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors at 19 institutions in 3 countries.

Fabiola AtzeniRheumatology Unit, Department of Internal Medicine, University of Messina, Messina.ORCID https://orcid.org/0000-0002-9328-3075
Alessandra AlciatiDepartment of Clinical Neurosciences, Hermanas Hospitalarias, Villa San Benedetto Menni Hospital, Albese con Cassano, Humanitas Clinical and Research Center, Como, Milan, Rozzano.ORCID https://orcid.org/0000-0002-8971-4696
Fausto SalaffiRheumatology Clinic, Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Jesi, Ancona.
Marco Di CarloRheumatology Clinic, Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Jesi, Ancona.ORCID https://orcid.org/0000-0002-0906-4647
Laura BazzichiRheumatology Unit, AOU Pisana, Pisa.
Marcello GovoniRheumatology, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliera-Universitaria S. Anna di Ferrara.
Giovanni BiasiRheumatology Unit, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena.
Manuela Di FrancoRheumatology Unit, Department of Internal Medicine, Anesthesiological and Cardiovascular Sciences, Policlinico Umberto I, Sapienza University of Rome.
Flavio MozzaniInternal Medicine and Rheumatology Unit, Azienda Ospedaliero-Universitaria di Parma, Parma.
Elisa GremeseRheumatology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Lorenzo DagnaUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan.
Alberto BatticciottoRheumatology Unit, Internal Medicine Department, ASST Settelaghi, Varese.
Fabio FischettiUnit of Rheumatology, Department of Medical, Surgery and Health Sciences, ASUGI and Clinical University, University of Trieste.ORCID https://orcid.org/0000-0003-3742-7772
Roberto GiacomelliClinical Unit of Rheumatology, School of Medicine, University of L'Aquila.
Serena GuiducciDivision of Rheumatology AOUC, Department of Experimental and Clinical Medicine, University of Florence, Florence.
Giuliana GugginoDepartment of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo.ORCID https://orcid.org/0000-0003-2479-6958
Mario BentivegnaIntegrated Reference Center of Rheumatology, Scicli Hospital, Ragusa.
Roberto GerliRheumatology Unit, Department of Medicine, University of Perugia, Perugia.ORCID https://orcid.org/0000-0002-4684-575X
Carlo SalvaraniUniversity of Modena and Reggio Emilia, Azienda USL-IRCCS di Reggio Emilia.
Gianluigi BajocchiRheumatology Unit, S. Maria Hospital-USL, IRCCS Institute, Reggio Emilia.
Marco GhiniRheumatology Unit, Azienda USL di Modena.
Florenzo IannoneRheumatology Unit, Department of Emergency Surgery and Organ Transplantations, University of Bari, Bari.ORCID https://orcid.org/0000-0003-0474-5344
Valeria GiorgiRheumatology Unit, Internal Medicine Department, ASST Fatebenefratelli-Sacco, Milan University School of Medicine, Milan.
Sonia FarahRheumatology Clinic, Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Jesi, Ancona.ORCID https://orcid.org/0000-0002-9815-2621
Sara BonazzaRheumatology, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliera-Universitaria S. Anna di Ferrara.
Stefano BarbagliRheumatology Unit, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena.
Chiara GioiaRheumatology Unit, Department of Internal Medicine, Anesthesiological and Cardiovascular Sciences, Policlinico Umberto I, Sapienza University of Rome.
Noemi Giuliana MarinoInternal Medicine and Rheumatology Unit, Azienda Ospedaliero-Universitaria di Parma, Parma.
Annunziata CapacciRheumatology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Giulio CavalliUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan.
Antonella CappelliRheumatology Unit, Internal Medicine Department, ASST Settelaghi, Varese.
Francesco CarubbiClinical Unit of Rheumatology, School of Medicine, University of L'Aquila.
Francesca NacciDivision of Rheumatology AOUC, Department of Experimental and Clinical Medicine, University of Florence, Florence.
Ilenia RiccucciRheumatology Unit, Department of Medicine, University of Perugia, Perugia.
Maurizio CutoloResearch Laboratory and Division of Clinical Rheumatology, Department of Internal Medicine, University of Genoa, IRCCS San Martino, Genova.
Luigi SinigagliaDivision of Rheumatology, ASST Gaetano Pini-CTO, Milano, Italy.
Piercarlo Sarzi-PuttiniRheumatology Unit, Internal Medicine Department, ASST Fatebenefratelli-Sacco, Milan University School of Medicine, Milan.ORCID https://orcid.org/0000-0002-8673-5133
Marche Polytechnic University · ITAgostino Gemelli University Polyclinic · ITMylan (Switzerland) · CHOspedale di Parma · ITPoliclinico Umberto I · ITUniversity of Ferrara · ITUniversity of Florence · ITUniversity of L'Aquila · ITUniversity of Perugia · ITUniversity of Siena · ITVita-Salute San Raffaele University · ITAzienda Unita' Sanitaria Locale Di Modena · ITIstituto Ortopedico Gaetano Pini · ITUniversity of Bari Aldo Moro · ITUniversity of Genoa · ITUniversity of Messina · ITUniversity of Modena and Reggio Emilia · ITUniversity of Trieste · ITVilla Maria Hospital · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveVarious studies have shown that overweight and obesity are central features of FM, but the real impact of a high BMI on clinical severity in patients with FM is still controversial. The aim of this study was to analyse the relationships between BMI categories and measures of symptom severity and functional impairment using data from a Web-based registry of patients with FM.

methodsAdult patients with an ACR 2010/2011 diagnosis of FM underwent a complete physical examination and laboratory tests and were asked to complete a package of questionnaires covering their sociodemographic and treatment details, in addition to the following disease-specific questionnaires: the revised Fibromyalgia Impact Questionnaire (FIQR), the modified Fibromyalgia Assessment Status questionnaire (ModFAS) and the Polysymptomatic Distress Scale (PDS).

resultsA total of 2339 patients were recruited and divided into two weight categories, underweight/normal (U/N,

conclusionOur findings demonstrate that O/O patients with FM are significantly more impaired than U/N patients in all the symptomatological and functional domains as measured using the FIQR, ModFAS and PDS, thus suggesting that being O/O has an additional effect on symptoms and function.

Indexed as

BMIclinical severityfibromyalgiaobesitywidespread pain

Identifiers

PMID34345760
PMCPMC8324026
OpenAlexW3133738287

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.